Care Home: Avon Lodge

What the care home does well People who live at the home told us they are happy living at the home and feel safe. One person said, "I like it here" Another person said, "The staff are good" People said they decide what to do, and where they want to go. "I decide my routine and the home fits around this" Visitors to the home told us that they thought the home was good. One health care Professional said, " The supportive and `can do` attitude is refreshing! " One realative said, "The home trains the staff well in understanding and being helpful to parents and residents" The daily records, assessments and care plans were good and health care plans supported people well. Staff told us it is a good home. These were typical comments, "People are treated with respect and as individuals" "We listen to what they say and try and think of better ways of supporting them" Surveys from people who live at the home told us that they are happy with the staff and management. What has improved since the last inspection? This is the first inspection. What the care home could do better: People`s healthcare needs could be better identified and monitored through the care planning process. This will make sure their healthcare needs are identified and met. People are supported by the staff to manage their monies but this must be monitored closely as financial procedures are not robust in making sure people`s money is safe. There are concerns about the management of hygiene in the home and the control of infection. There were many bathrooms and toilets without satisfactory facilities to wash hands including the staff toilet. Some of these areas were not clean. The internal appearance of the home was not good. Some of the carpets were stained and paint work throughout the home was not clean. Many of the communal areas needed attention and the furnishings in some areas needed repair or replacement. The home could be cleaner and decorated to a better standard. This will make sure people live in a pleasant environment. Key inspection report Care homes for adults (18-65 years) Name: Address: Avon Lodge 24-25 Harlow Moor Drive Harrogate N Yorkshire HG2 0JY     The quality rating for this care home is:   one star adequate service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Linda Trenouth     Date: 1 5 0 4 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Adults (18-65 years) Page 2 of 31 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 31 Information about the care home Name of care home: Address: Avon Lodge 24-25 Harlow Moor Drive Harrogate N Yorkshire HG2 0JY 01423562625 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): juliahodgson14@hotmail.com Avon Lodge Ltd Name of registered manager (if applicable) Type of registration: Number of places registered: care home 21 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users who can be accommodated is: 21. The registered person may provide the following category of service only: Care home only: CodePC, to service users of the following gender: Either, whose primary care needs on admission to the home are within the following categories: Learning disability: Code LD. Date of last inspection Brief description of the care home Avon Lodge is two convereted Victorian houses linked together. They provide accomodation for up to 21 people with a learning disability. Each bedroom is for single accommodation, one of which has en-suite facilities. These are situated over three floors in both units, eight in one, thirteen in the other. There is an activities room in the larger unit. Care Homes for Adults (18-65 years) Page 4 of 31 Over 65 10 21 Brief description of the care home The home has no garden; it does however have an enclosed courtyard and is directly opposite Valley gardens in Harrogate. The home is situated on a quiet road approximately one mile from Harrogate town centre. There are local amenities, including shops, churches, pubs and cafes within a few minutes walk. The weekly fees for the home in 2008 range from £580 to £1200. The homes Statement of Purpose is available on request. Care Homes for Adults (18-65 years) Page 5 of 31 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: one star adequate service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This is the first key inspection since the home has been re-registered. Before this visit we reviewed the information we had about the home and the manager completed an annual quality assurance assessment (AQAA). The AQAA provides us with information about the home and tells us what has happened in the last twelve months. We used this information to help us decide what we should do during our inspection visit. Surveys were sent out to people who live at the home and other people who have an interest in the service. The comments from the returned surveys are included in this report. An inspector was at the home for one day from 10:00am to 3:45pm. We spoke to four people who live at the home, staff and the deputy manager. We looked around the home, and looked at care plans, risk assessments, daily records and staff records. Feedback was given to the deputy manager at the end of the visit. Care Homes for Adults (18-65 years) Page 6 of 31 Care Homes for Adults (18-65 years) Page 7 of 31 What the care home does well: What has improved since the last inspection? What they could do better: Peoples healthcare needs could be better identified and monitored through the care planning process. This will make sure their healthcare needs are identified and met. People are supported by the staff to manage their monies but this must be monitored closely as financial procedures are not robust in making sure peoples money is safe. There are concerns about the management of hygiene in the home and the control of Care Homes for Adults (18-65 years) Page 8 of 31 infection. There were many bathrooms and toilets without satisfactory facilities to wash hands including the staff toilet. Some of these areas were not clean. The internal appearance of the home was not good. Some of the carpets were stained and paint work throughout the home was not clean. Many of the communal areas needed attention and the furnishings in some areas needed repair or replacement. The home could be cleaner and decorated to a better standard. This will make sure people live in a pleasant environment. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 31 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 31 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples needs are well assessed to make sure the service can support them in the best way. Evidence: People are given the right information before they move into the home to make sure they know what the home can provide. People also have a contract which outlines the terms and conditions whilst living at the home this is important to make sure they are aware of their rights. Three care records were reviewed and it was evident that individuals were well assessed. This is important to make sure the service is able to meet their needs in a way they prefer. The staff told us that every effort is made to ensure that people have a chance to get to know the home before they choose to move in. Care Homes for Adults (18-65 years) Page 11 of 31 Evidence: One person who had recently moved into the home confirmed that he had looked around the home and visited before he had moved in. This is important to make sure the admission is right for everyone. Care Homes for Adults (18-65 years) Page 12 of 31 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live at the home are encouraged and supported to take control of their lives and are involved in planning care. Evidence: We spoke to people who live in the home who told us us that they feel they live their lives the way they choose. One person told us, I decide my routine and the home fits around me I go out when I want I like it here Seven surveys were returned from people living at the home who all felt that the home was well run and provided what they needed. One survey commented, Care Homes for Adults (18-65 years) Page 13 of 31 Evidence: I like the staff and there are a lot of friendly people Staff said that they work hard to make sure people are given the right support and treated as individuals. They hold regular service user meetings and encourage people to have a say in the running of the home. We talked to people living at the home who all said they were happy living there and that they felt it provided a good service. We received comments from Health Care Professionals who confirmed that they too felt the home was run well and in the best interests of the people living there. Avon Lodge supports people to live as independently as possible and promotes individual rights, it encourages diversity and sees peoples individuality and potential Residents are supported to take responsibility for their own lives and to take informed risks where appropriate People tell us that they have a key worker who helps them understand their care plans and supports them with health needs. The care plans that we reviewed were clear and regularly updated. There was evidence of peoples involvement and where appropriate they had signed their care plan to show that they understood and agreed to them. Care Homes for Adults (18-65 years) Page 14 of 31 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported to live a fulfilling live and maximise their individual potential at the home. Evidence: There are many varied activities happening throughout the week, which are appropriate to the needs, age and abilities of the people living at the home. People tell us that they choose the activities they wish to do with some attending day services, independent activities and work. The staff tell us that people are encouraged to participate in some domestic chores this includes, some cooking, washing and cleaning. People where appropriate, clean their bedrooms and do their laundry. Staff support people with these tasks and also support people in some meal preparation. Care Homes for Adults (18-65 years) Page 15 of 31 Evidence: One relative commented, My sons independence is encouraged and his welfare, physical and medical needs are fully understood. People tell us that they can vote if they want to and that they have registered with a postal vote to make this more convenient. The AQAA tell us, Service users take part in Harrogate in Bloom. Two service users and a member of staff were invited to the award ceremony for which they received a certificate which is displayed in the main hallway. This gives the service users a sense of inclusion in the local community. The service users are looking forward to participating again this year. The home has use of a small minibus for transport arrangements for individuals at the home. Some individuals wish to travel independently and have access to local transport. Staff tell us that individuals also enjoy day trips out and longer breaks with holidays being organised for the summer. The holidays are organised in small groups and according to peoples choice. Staff tell us that peoples birthdays are always celebrated with special birthdays being a big event. People are supported to develop and maintain relationships with families and friends. They are assisted to visit their families and can meet their visitors in private. There was a positive comfortable atmosphere and friendly banter between the staff and people living at the home. Most main meals are eaten together at the home and staff told us that individuals also eat out regularly at pubs, cafes, and restaurants. People are offered a varied and nutritious diet and are involved with the menu planning at the home. During the service user meetings food is often discussed and a smaller group of elected service users are involved with adding their ideas to the Care Homes for Adults (18-65 years) Page 16 of 31 Evidence: menu. Care Homes for Adults (18-65 years) Page 17 of 31 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are well supported with their health needs but sometimes important information was not recorded and may mean that health needs are overlooked. Evidence: Everyone has a care plan, which details how they will be supported with their health and care needs. The care plans look at general health including Optical, Podiatry and Dental needs. People visit their GP regularly and their medication is reviewed. Where Health Professionals make recommendations these are included in the care plans. We looked at individuals who had specific health care needs. Some information was not recorded. This was where someone had attended an appointment with a GP or nurse and the outcomes were not recorded. This means that important health information could be overlooked. All health information must be recorded to make sure peoples health is properly supported. Care Homes for Adults (18-65 years) Page 18 of 31 Evidence: The medication was reviewed and found to be safely stored. The staff administer and record medication safely and make sure any unused medicines are appropriately returned to the chemist. The medication provided to the home is in a monitored dosage system supplied by the Chemist. All staff have had training in the administration of medicines. This is to make sure people are safely supported with their health needs. People living at the home also access the CTLD (Community Team for Learning Disabilities), which consists of a multi skilled team who support people in a variety of ways. Care Homes for Adults (18-65 years) Page 19 of 31 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported where they may have concerns or need to complain but the financial procedures do not protect people enough and may leave them vulnerable to abuse. Evidence: The AQAA tells us The service users are encouraged and supported to talk about any concerns or complaints they have. Both the Registered Manager and the Deputy Manager work on an evening as well as during the day in order that they are accessible and approachable to those service users who are at work during the day. Individuals are encouraged and supported to talk about any concerns or complaints they have. Staff tell us that individuals are encouraged to raise any concerns or complaints they have through the service user meetings and also with staff and key workers. People living at the home confirmed that they are aware of the complaints procedure and that they would raise any concerns that they have with the staff and the manager. They also confirmed that there are regular service user meetings where they can discuss issues within the home. Care Homes for Adults (18-65 years) Page 20 of 31 Evidence: People observed within the home were relaxed and clearly at ease with the staff and other individuals living at the home. Staff confirmed that the Manager and the Deputy Manager are approachable and listen to any concerns that they may have. There had however been some recent incidents at the home when individuals have behaved aggressively. These had been managed by the staff but the Care Quality Commission had not been informed. Any incidents that affect the well being of people living at the home must be shared with the Commission to ensure that peoples health and well being are properly monitored. The AQQA states that, Avon Lodge encourages all service users to take as much control over their own finances. However if the service user is incapable of this clear policies and procedures are in place to ensure the safe keeping of the service users finances. People are supported with their finances. Money is held on their behalf and financial records account for monies in and out and receipts are kept however this is only audited once per month. Two individuals monies were reviewed and found to be incorrect and did not match the records. It was clear that the auditing of monies needs further review and should be undertaken more frequently to protect people from any financial abuse. Care Homes for Adults (18-65 years) Page 21 of 31 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a poor environment that could be improved by sufficient cleaning and maintenance of the building and its furnishings. Evidence: The home consists of two large Victorian houses linked together via a corridor at the back of the property. A tour of the building was carried out. All bedrooms are single with one en suite bedroom on the ground floor. Two bedrooms were seen and were of a good size and were personalised. Each room had photographs, pictures and personal items. The communal areas kitchens, dining room and lounges provided comfortable furnishings but generally the standard of decoration was not good and many areas were in need of redecoration or repair. Staff spoken to felt that areas of the home were in need of repair and redecoration. Areas in need of attention included bathrooms and toilets throughout the home. One bathroom had mould over the ceiling, the shower tray was dirty as were the tiles around the toilet area. Several other toilets and bathrooms also required a good clean Care Homes for Adults (18-65 years) Page 22 of 31 Evidence: with tiling areas and floors with ingrained dirt particularly around the toilet areas. One bath was chipped and cracked and required replacing. Carpets and paintwork needed cleaning in many areas of the home. Carpets needed vacuuming on corridors and stairs. It looked like this had not been done for sometime. The home was in need of a good cleaning routine and more cleaning hours need to be in place to ensure that good standards are maintained. Of the seven service users survey five of them felt that the home was only sometimes clean. Staff confirmed that they had access to aprons and gloves when required. However concerns were raised that there were inadequate hand washing facilities within the home. The bathrooms did not have soap and paper towels. One bathroom had a frayed communal hand towel for everyone to use. This was unacceptable and could put people at risk of cross infection. The manager must make sure that adequate resources are in place to protect everyones health within the home. Care Homes for Adults (18-65 years) Page 23 of 31 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live at the home are supported by a competent and caring staff team. Evidence: Staff records were reviewed and recruitment and support of staff was found to be good. Staff told me that they have induction training and this is followed with comprehensive training in care and specialist areas. Staff also undertake NVQ(National Vocational Qualification) training. People living at the home tell us that they are happy with the staff and management of the home. They commented Staff are great here I get on with the staff they talk to me about all sorts of stuff and help me with things when I need them. Care Homes for Adults (18-65 years) Page 24 of 31 Evidence: Relatives also felt very happy with the staff, I have always had total peace of mind with my brothers care, it (Avon Lodge) is his home and he is treated at all times with respect and understanding The staff rotas were reviewed and they were consistent throughout the week with four staff on shift am and pm and one waking night worker with one member of staff sleeping in. Staff tell us that the rotas are flexible and they cover shifts on holidays and illness. Care Homes for Adults (18-65 years) Page 25 of 31 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People feel the home is well managed but the manager must make sure important information is shared, financial procedures are robust and the environment is consistently at a good standard. Evidence: The registered manager is very experienced and qualified to care for the people in the home and organises the care at the home well. People living at the home and their relatives told us that they thought the home was well managed. Staff are recruited safely and trained to do their jobs well. Staff have regular meetings, supervision and tell us that they feel supported by the manager of the home. In the AQAA the manager told us they have all relevant policies and procedures in place, and equipment has been tested as recommended by the manufacturer. Care Homes for Adults (18-65 years) Page 26 of 31 Evidence: The deputy manager confirmed that they send out surveys to people who live at the home and health care professionals. People who live at the home also attend regular meetings and are asked about the quality of the home. The home sent us their AQAA which was very detailed and shows us where they think they could improve and where they think they run the home well. Whilst the home has systems in place for monitoring the quality of the home there are areas that need improvement. We looked at the accidents and daily information about individuals in the home and there had been several occasions where incidents had occurred and the manager has failed to notify us. It is a legal requirement that the manager notifies us of such incidents at the home. It was clear that the auditing of monies held on behalf of individuals needs further review and should be undertaken more frequently to protect people from financial abuse. The general cleanliness and upkeep of the environment was not good and the manager must ensure that this is addressed and standards improved. Care Homes for Adults (18-65 years) Page 27 of 31 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 28 of 31 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 40 37 The Care Quality 19/06/2010 Commission must be notified of significant events that affect the health and well being of people who live at the home. This will help make sure peoples health and welfare is being appropriately monitored. 2 41 17 Financial procedures must be robust and more closely monitored. To make sure people are protected from financial abuse. 19/06/2010 3 42 13 The quality of the environment must be maintained to a good standard and levels of cleanliness closely monitored. 19/06/2010 Care Homes for Adults (18-65 years) Page 29 of 31 Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action To make sure everyone lives in a safe clean and comfortable environment. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 19 The health care records must be accurate and kept up to date including all information to ensure that peoples health needs are supported properly. Care Homes for Adults (18-65 years) Page 30 of 31 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). 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